This Article  • References  • Full text PDF  • Correction  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (37)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Immediate Outcome, Hospital Charges, and Follow-up of Patients

Theodore J. Witek, Jr, MPH, RRT; E. Neil Schachter, MD; Norman L. Dean, MD; Gerald J. Beck, PhD

Arch Intern Med. 1985;145(2):235-239.

Abstract
• In 100 consecutive patients undergoing mechanically assisted ventilation, we prospectively determined immediate survival, hospitalization charges, and subsequent one-year outcome. Sixty percent of the patients survived the episode of assisted ventilation. This survival decreased to 50% at the time of hospital discharge and to 33% one year after hospitalization. There were no posthospitalization deaths in patients less than age 50 years. In those patients older than 70 years, however, 51% were dead by the time of hospital discharge and 73% died by one year following discharge. Comparison of features that reflect the magnitude of intensive respiratory care, such as hours of ventilation and intensive care unit (ICU) length of stay, disclosed no statistically significant differences between survivors and nonsurvivors at discharge. Hospitalization charges averaged $10,968 per patient. The total charge for respiratory therapy services (including arterial blood gas determinations) averaged $2,200. Respiratory care service charges were only marginally different between survivors and nonsurvivors. By contrast, total charges and total length of stay were greater for the survivors. Resource use in the intensive care setting as reflected by hours of mechanical ventilation and ICU length of stay was similar in both survivors and nonsurvivors, with the larger total cost for survivors relating primarily to care outside the ICU. Also, we confirm that prognosis is excellent in patients less than 50 years of age who survive mechanically assisted ventilation for acute respiratory failure and that extubation in elderly patients is not necessarily indicative of a good prognosis.

(Arch Intern Med 1985;145:235-239)

Author Affiliations
From the Respiratory Service, Griffin Hospital, Derby, Conn (Mr Witek and Dr Dean), and the Pulmonary Section, Yale University School of Medicine, New Haven, Conn (Mr Witek and Drs Schachter, Dean, and Beck).

Footnotes
Accepted for publication June 19, 1984.

Reprint requests to Pulmonary Section, Department of Internal Medicine, Mt Sinai Medical Center, 1 Gustave L. Levy Pl, A-24-30, New York, NY 10029 (Dr Schachter).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Non-invasive ventilation for respiratory failure due to acute exacerbations of chronic obstructive pulmonary disease in older patients
Balami et al.
Age Ageing 2006;35:75-79.
FULL TEXT  

Prolonged Invasive Ventilation Following Acute Ventilatory Failure in COPD: Weaning Results, Survival, and the Role of Noninvasive Ventilation
Quinnell et al.
Chest 2006;129:133-139.
ABSTRACT | FULL TEXT  

Update in Critical Care Medicine
Fromm and Guntupalli
ANN INTERN MED 2000;133:974-980.
FULL TEXT  

Mechanical Ventilation in a Cohort of Elderly Patients Admitted to an Intensive Care Unit
Ely et al.
ANN INTERN MED 1999;131:96-104.
ABSTRACT | FULL TEXT  

Effects of Organizational Change in the Medical Intensive Care Unit of a Teaching Hospital: A Comparison of 'Open' and 'Closed' Formats
Carson et al.
JAMA 1996;276:322-328.
ABSTRACT  

Identification of Comatose Patients at High Risk for Death or Severe Disability
Hamel et al.
JAMA 1995;273:1842-1848.
ABSTRACT  

Intensive Care for Critically Ill Elderly: Mortality, Costs, and Quality of Life: Review of the Literature
Chelluri et al.
Arch Intern Med 1995;155:1013-1022.
ABSTRACT  

Mechanical Ventilation: Analysis of Increasing Use and Patient Survival
Swinburne et al.
J Intensive Care Med 1988;3:315-320.
ABSTRACT  

Weaning from Mechanical Ventilation
Morganroth and Grum
J Intensive Care Med 1988;3:109-120.
ABSTRACT  

Analytic Reviews : Initiating Mechanical Ventilation
Grum and Morganroth
J Intensive Care Med 1988;3:6-20.
ABSTRACT  

Outcome and Function Following Prolonged Mechanical Ventilation
Spicher and White
Arch Intern Med 1987;147:421-425.
ABSTRACT  

Long-term Hospitalization of Ventilator-Dependent Patients Can We Afford It?
Arch Intern Med 1985;145:2089-2089.
ABSTRACT